Provider Demographics
NPI:1225730948
Name:BEECHER, BINBIN
Entity Type:Individual
Prefix:
First Name:BINBIN
Middle Name:
Last Name:BEECHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 LYNCH CREEK WAY STE B
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-2391
Mailing Address - Country:US
Mailing Address - Phone:707-871-6046
Mailing Address - Fax:
Practice Address - Street 1:131 LYNCH CREEK WAY STE B
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-2391
Practice Address - Country:US
Practice Address - Phone:707-871-6046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88602225700000X
CA81100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist